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Ultrasonography and the Ultrasound-Management

of Thyroid Nodules: Consensus StatemRecommendations

Andrew Permana Suliarta

406148084

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Rumus Volume Tiroid 

M = 0,86 x A1,26

  V = 4/3 a.b.c

  M = 1 r/cm3 x V

   

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  Sel "#li$el men%a&il$an 2 %#rm#n '  (ir#$&in )(4* 

 (rii#d#tir#nin )(3*

  Sel +ara"#li$ular )c cell&* '  al&it#nin

  -a%an da&ar '  (ir#&in  #dium

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Disfungsitiroid

Penyebab Konsentrasiplasma hormonbersangkutan

Gondo

Hipotiroidisme   -Kegagalan primer kelenjartiroid-Sekunder akibatkegagalan hipotalamusatau hipofisis anterior -Kekurangan iodium dlmmakanan

  T3 & T4, TSH

  T3 & T4, TRH&/atau TSH

  T3 & T4, TSH

Ya

Tida

Ya

Hipertiroidisme-

 dan!a imunoglobulinperangsang tiroid "TS#$"pen!akit %raes$-Sekunder akibatkelebihan sekresihipotalamus atau hipofisisanterior -Hipersekresi tumor tiroid

  T3 & T4, TSH

  T3 & T4, TRH,&/atau TSH

  T3 & T4, TSH

Ya

Ya

Tida

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StrumaStruma di&ebut ua goiter  adala% &uatu

+emben$a$an +ada le%er #le% $arena +embe&a$elenar tir#id a$ibat anuan "un&i atau +erub&u&unan $elenar dan m#r"#l#ina.

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Pemagian Struma  utir#id&me

  i+#tir#idi&me

  i+ertir#idi&me

  Struma t#$&i$

  Struma n#nt#$&i$

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Struma To!si! 

  Struma i5u&a (#$&i$

  Struma #du&a (#$&i$

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Struma Non-To!si!   Struma i5u&a n#nt#$&i$

  Struma #du&a n#nt#$&i$

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#rmal (ir#id #++ler 7S

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Struma i5u&e (#$&i$

  ra9e i&ea&e&

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  a&im#t#:& (r%#iditi&

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Nodul Tiroid  nternal ;#ntent

  #dule S%a+e

  #dule Marin

  c%#enicit

  ;laci<cati#n

  Va&cularit

  7S la&t#ra+%

nternal ;#ntent

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nternal ;#ntent

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#dul S%a+e

d l M i

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#dul Marin

c%#enicit

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c%#enicit

;alci<cati#n

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;alci<cati#n

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Va&cularit  7S denan warna )#++ler* da+at diuna$an untu$ m

9a&$ulari&a&i n#dul   (eta+i ambaran 9a&$ulari&a&i +ada n#dul ana& u

dida+at$an +ada n#dul ina$

  arena $uran &+e&i<$na +enilaian  +enunaan 7S#++ler tida$ di re$#menda&i.

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la&t#ra+%

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Malinant #dule

  Micr#calci<cati#n&

   (%e +re&ence #" %+#ec%#ic n#dule  An irreular marin

  S#lid

  ntratum#ral 9a&cularit

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T"#N$ %&U